General Information

UCP Seguin is required and committed to do all we can to protect the vulnerable adults and children we serve from all forms of abuse, neglect and exploitative victimization. To that end, this section includes personal background information necessary to ensure that we exercise due diligence in screening any person before s/he is authorized for regular access to the UCP Seguin workplace, its program sites and for ongoing contact with its participants and staff. We recognize that many people have made mistakes in the past. A conviction record will not necessarily be a bar to such approval. Factors such as job relatedness, age and time of the offense, seriousness, rehabilitation and nature of the offense will be taken into account. We need you to answer all questions truthfully so that we can discuss any problems you may have had in advance of the receipt of background investigation results. Please be advised that we will conduct an investigation of criminal background and check references you note or other information that is deemed pertinent. Therefore, any false or omitted answers to these application questions will result in your application being rejected.

PURSUANT TO CRIMINAL IDENTIFICATION ACT 20 ILCS 2630/5: APPLICANTS ARE NOT REQUIRED TO DISCLOSE SEALED OR EXPUNGED RECORDS OF CONVICTION OR ARREST.

Volunteer Information

Volunteer Hours

Volunteer Locations

Volunteer Opportunities

Notification and Agreement

I certify that all answers given by me are true, accurate and complete. I understand that the falsification, misrepresentation or omission of fact on this application (or any other accompanying or required documents) will be cause for denial of approval to access UCP Seguin premises and program sites or immediate termination of such approval, regardless of when or how discovered.

I authorize the investigation of all statements and information contained in this application. I release from all liability anyone supplying such information and I also release the employer from all liability that might result from making an investigation.

 
If approved, I agree to abide by all of the Agency rules and regulations including those pertinent to the rights of UCP Seguin participants and staff, who I may encounter while on UCP Seguin premises and understand that, is approved to access UCP Seguin premises, such approval may be revoked with or without cause, and with or without notice, at any time, at the option of either the Agency or me, I further understand I acknowledge that I have read and understand the above statements and hereby grant permission to confirm the information supplied on this application by me.